Dr Lee Roy Wiederhold Iii, MD, PHD in Galveston, TX

Dr Lee Roy Wiederhold Iii, MD, PHD is a medicare enrolled "Radiology - Radiation Oncology" physician in Galveston, Texas. He went to University Of Texas Medical Branch At Galveston and graduated in 2005 and has 19 years of diverse experience with area of expertise as Radiation Oncology. He is a member of the group practice Physicians Referral Service, University Of Texas Medical Branch Faculty Group Practice and his current practice location is 301 University Blvd, Galveston, Texas. You can reach out to his office (for appointments etc.) via phone at (409) 772-2531.

Dr Lee Roy Wiederhold Iii is licensed to practice in Texas (license number M5976) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1134323736.

Contact Information

	Dr Lee Roy Wiederhold Iii, MD, PHD
	301 University Blvd, Galveston, TX 77555-0462
	(409) 772-2531
	(409) 772-1814

Map and Direction

Physician's Profile

Full Name	Dr Lee Roy Wiederhold Iii
Gender	Male
Speciality	Radiation Oncology
Experience	19 Years
Location	301 University Blvd, Galveston, Texas
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Lee Roy Wiederhold Iii attended and graduated from University Of Texas Medical Branch At Galveston in 2005

NPI Data:

NPI Number: 1134323736
Provider Enumeration Date: 06/14/2007
Last Update Date: 01/29/2019

Medicare PECOS Information:

PECOS PAC ID: 5597898304
Enrollment ID: I20100730000568

Medical Identifiers

Medical identifiers for Dr Lee Roy Wiederhold Iii such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1134323736	NPI	-	NPPES
213444702	Medicaid	TX
3847415682	Other		MYUTMB 3847415682-COMMERCIAL NUMBER
213444703	Other	TX	MEDICAID CSHCN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0001X	Radiology - Radiation Oncology	M5976 (Texas)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
University Of Texas Medical Branch Galveston	Galveston, TX	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Physicians Referral Service	7911801410	2364
University Of Texas Medical Branch Faculty Group Practice	3375456734	875

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Lee Roy Wiederhold Iii allows following entities to bill medicare on his behalf.

Entity Name	Utmb Faculty Group Practice
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942241146 PECOS PAC ID: 3375456734 Enrollment ID: O20031112000438

Entity Name	Physicians Referral Service
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073574810 PECOS PAC ID: 7911801410 Enrollment ID: O20031125000953

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Lee Roy Wiederhold Iii is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Lee Roy Wiederhold Iii, MD, PHD 301 University Blvd, Galveston, TX 77555-5302 Ph: (409) 772-2222	Dr Lee Roy Wiederhold Iii, MD, PHD 301 University Blvd, Galveston, TX 77555-0462 Ph: (409) 772-2531

Reviews and Comments

Radiology Doctors in Galveston, TX

Dr. Alvin Carlos Camacho, MD Radiology Medicare: Medicare Enrolled Practice Location: 301 University Blvd, Galveston, TX 77555 Phone: 409-772-4194
Morton H. Leonard Jr., M.D. Radiology Medicare: Medicare Enrolled Practice Location: 38 Lakeview Dr, Galveston, TX 77551 Phone: 409-692-3345
Dr. Roberto Nonesupplied Zamudio, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 301 University Blvd, Galveston, TX 77555 Phone: 409-772-4194
Faustino C. Guinto Jr., M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 301 University Blvd, Galveston, TX 77555 Phone: 409-772-2222
Dr. Eric Michael Walser, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: Department Of Radiology, 301 University Blvd, Galveston, TX 77555 Phone: 409-747-0100 Fax: 409-772-8219
Gregory Chaljub, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 301 University Blvd, Galveston, TX 77555 Phone: 409-772-2222
Tomas Eduardo Uribe Acosta, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 301 University Blvd, Galveston, TX 77555 Phone: 409-772-2222

Dr Lee Roy Wiederhold Iii, MD, PHD - Medicare Radiation Oncology in Galveston, TX